| NPI | 1093931149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: PA MW010509) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209.006526) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-05-03 |